Senior program management advisor
**This is a hybrid role which will require the candidate to work in an office. Preferred offices: St. Louis, MO; Philadelphia, PA or Pittsburg, PA.
The Senior Program Management Advisor will be a senior member of the Evernorth Care Solution Clinical Infrastructure Business Team responsible for supporting Care Solutions clinical systems business requirements and operational best practices for all clinical roles. This includes aligning to Portfolio projects and Operational initiatives to lead discussions with Operations to understand operational needs, identify workflow impacts and make recommendations; create business requirements; validate test evidence, lead contingency planning, conduct post release check out and ensure accuracy of training and impacted SOPs.
Duties & Responsibilities:
Lead discussions to provide recommendations, impact analysis and requirements for mid to large size projects/initiatives impacting clinical systems and workflows.
Participate in chair side observations and other operational efficiency exercises to provide TruCare expertise and insights into process improvement.
Lead process improvement initiatives and collaborate with Clinical Operations staff and the Information Technology team to define best practices
Identifies and develops relationships with Clinical Operations sponsors, staff and key stakeholders to establish and monitor progress against project goals and objectives.
Identify and deliver solutions for custom client requests.
Develop, drive and maintains work plans that consider the priorities, key milestones, time estimates, task sequencing and identification of tasks that may be performed concurrently to achieve objectives as it relates to defining/redefining clinical workflows and requirements.
Drive the timely development of training, knowledge management and quality materials supporting the system release changes and proficiency modules.
Establish project milestones, timelines to meet deliverable requirements
Identify and resolve barriers that slow or prevent the successful attainment of process/ productivity improvement and administrative efficiency that will lead to cost reduction and competitive analysis.
Develop and conduct system test cases and test evidence to ensure accuracy.
Validate and sign off on vendor enhancements that address defects affecting end users and/or customers.
Lead system release business checkout, provide post implementation operational support and troubleshoot of issues as needed.
As needed, escalates issues to appropriate audiences including key business leaders and team members.
Experience:
Bachelor’s Degree, preferred; MBA, PMI or Six Sigma training also valued
10+ years combined business and technical analysis experience.
10+ years experience in healthcare or insurance industry
Demonstrated project management skills and success.
Thorough knowledge and experience with Evernorth Operations and Care Solutions platforms.
Exhibit working understanding of the medical billing, claims systems and member eligibility.
Exhibit knowledge and experience in the Scaled Agile SAFe framework
Strong analytical, problem solving, and conceptual skills.
Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed on technologies, new business areas and new types of projects.
Proven ability to create and develop strong relationships with business and IT leadership.
Ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals.
Ability to work in a fast paced, demanding and rapidly changing environment.
Excellent oral, written presentation and communication skills.
Ability to lead and influence in a matrixed environment is critical.
Ability to prioritize multiple obligations and meet aggressive timelines.
Proven ability to manage and mentor others. Viewed as a leader and mentor. Sought out for advice and council within and outside of direct team.
Excellent organizational and time management skills.
Excellent interpersonal and relationship building skills.
Detail oriented with excellent research skills.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Recommended Jobs
Planning Engineer
Description Planning Engineer Are you passionate about making a tangible impact on your community? Do you excel at turning complex data into actionable strategies? At Lehigh County Authority in A…
Sous Chef
SOUS CHEF POSITION AT FEARLESS RESTAURANT GROUP What makes Fearless Restaurants special and a great place to work?! Cuz’ we give a damn! We are part of Fearless Restaurant Group; a multi-…
[Active Hring] Java Software Engineer II
Date Posted: 2025-08-26 Country: United States of America Location: PA601: 302 Science Park Road, Bldg 5A 302 Science Park Road Building 5A, State College, PA, 16803-2214 USA Posi…
Loss Prevention Detective
Job Description Job Description We are seeking a Retail Loss Prevention Detective to join our team. You will be responsible for external and internal theft investigations as well as assisting the…
Software engineer
Bentley Systems Software Engineer II (Typescript/ React) Location : US, East Coast Timezone (Office, Hybrid, Remote) Position Summary We are on the lookout for a passionate Software Engin…
Pizza Maker/Shift Leader - 816 S. Saint Marys St.
Job Description Current Pay Rates: $10/Hour = Base Pay for Part Time CSR/Pizza Makers $13/Hour = Full Time Pizza Makers $14/Hour = Full-Time Shift Lead Level 1 in Training $15/Hour…
Catering Event Operations Manager - Acrisure Stadium
The Catering Event Operations Manager is a leadership position which leads all aspects of catering solutions and special events at the location. This position will lead the Catering team to complete …
Data production manager graphic designer
Data Production Manager & Graphic Designer General Information Press space or enter keys to toggle section visibility City Baltimore, Bel Air, Edgewood, Lancaster, Perry Point …
1st Shift High Reach Forklift Operators
Job Title: Forklift Operator Job Description We are seeking skilled high reach forklift operators to supply materials for production and transport completed parts to shipping for delivery. The …
Clinical Support Specialist Shadyside
UPMC Magee-Womens Hospital is seeking a casual Clinical Support Specialist to support Women’s Imaging Shadyside! This position will work 7am to 3:30pm and 10:30am to 7pm shifts Monday through Fri…